Individual provider · Type 1 NPI

Taylor Wagner

Specialist · Dix Hills, NY

NPI number 1982595252 Active

Practice location

660 South Service Rd
Dix Hills, NY 11746

Call (631) 271-0777 Map

Mailing address

454 Spangle Dr
North Babylon, NY 11703-3710

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1982595252

Taylor Wagner's National Provider Identifier is 1982595252, issued on Jul 14, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dix Hills, NY. The record was last updated on Jul 14, 2025.